针灸应用于持续性植物状态研究进展  

Progress of Research on the Application of Acupuncture to Persistent Vegetative State

作　　者：金鑫 吴柯玫 吴金玲 尹丽丽[1,2] Jin Xin;Wu Kemei;Wu Jinling;Yin Lili(The First Hospital Affiliated to Tianjin University of Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《亚太传统医药》2023年第5期230-233,共4页Asia-Pacific Traditional Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015017);天津市卫生和计划生育委员会中医中西医结合科研课题(2017122)。

摘　　要：持续性植物状态(PVS)是一种特殊的意识障碍,其特点是醒时睁眼但无意识活动,有不规则的睡眠-觉醒周期,持续1个月以上。针灸可激活脑干网状觉醒系统功能,提高神经细胞兴奋性,促进脑外伤后PVS患者意识恢复,具有独特优势。通过对近几年针灸治疗PVS文献进行归纳总结,提出久病多虚,在PVS治疗上应结合补益。另外,电刺激内关穴,可间接兴奋正中神经,进而促醒,值得进一步研究。Persistent vegetative state(PVS)is a specific disorder of consciousness characterized by waking with eyes open but no conscious activity and an irregular sleep-wake cycle that lasts for more than one month.Acupuncture can activate the function of the brainstem reticular arousal system,increase the excitability of nerve cells,and promote the recovery of consciousness in patients with PVS after traumatic brain injury,which has unique advantages.In this paper,by summarizing the published literature on acupuncture for the treatment of persistent vegetative state in recent years,we propose that long-standing illnesses are often deficient and should be combined with tonicity in the treatment of PVS.In addition,electrical stimulation of the Neiguan point,which can indirectly excite the median nerve and thus promote wakefulness,deserves further study.

关 键 词：针灸 持续性植物状态 综述 

分 类 号：R246.6[医药卫生—针灸推拿学]